Offering Integrated Care for HIV/AIDS, Diabetes and Hypertension within Chronic Disease Clinics in Cambodia.

Hdl Handle:
http://hdl.handle.net/10144/22652
Title:
Offering Integrated Care for HIV/AIDS, Diabetes and Hypertension within Chronic Disease Clinics in Cambodia.
Authors:
Janssens, B; Van Damme, W; Raleigh, B; Gupta, J; Khem, S; Soy Ty, K; Vun, M; Ford, N; Zachariah, R
Journal:
Bulletin of the World Health Organization
Abstract:
PROBLEM: In Cambodia, care for people with HIV/AIDS (prevalence 1.9%) is expanding, but care for people with type II diabetes (prevalence 5-10%), arterial hypertension and other treatable chronic diseases remains very limited. APPROACH: We describe the experience and outcomes of offering integrated care for HIV/AIDS, diabetes and hypertension within the setting of chronic disease clinics. LOCAL SETTING: Chronic disease clinics were set up in the provincial referral hospitals of Siem Reap and Takeo, 2 provincial capitals in Cambodia. RELEVANT CHANGES: At 24 months of care, 87.7% of all HIV/AIDS patients were alive and in active follow-up. For diabetes patients, this proportion was 71%. Of the HIV/AIDS patients, 9.3% had died and 3% were lost to follow-up, while for diabetes this included 3 (0.1%) deaths and 28.9% lost to follow-up. Of all diabetes patients who stayed more than 3 months in the cohort, 90% were still in follow-up at 24 months. LESSONS LEARNED: Over the first three years, the chronic disease clinics have demonstrated the feasibility of integrating care for HIV/AIDS with non-communicable chronic diseases in Cambodia. Adherence support strategies proved to be complementary, resulting in good outcomes. Services were well accepted by patients, and this has had a positive effect on HIV/AIDS-related stigma. This experience shows how care for HIV/AIDS patients can act as an impetus to tackle other common chronic diseases.
Affiliation:
Médecins Sans Frontières, Phnom Penh, Cambodia. b.janssens@bigfoot.com
Publisher:
WHO
Issue Date:
Nov-2007
URI:
http://hdl.handle.net/10144/22652
PubMed ID:
18038079
Additional Links:
http://www.who.int/bulletin/en
Language:
en
ISSN:
0042-9686
Appears in Collections:
HIV/AIDS; Other Diseases

Full metadata record

DC FieldValue Language
dc.contributor.authorJanssens, B-
dc.contributor.authorVan Damme, W-
dc.contributor.authorRaleigh, B-
dc.contributor.authorGupta, J-
dc.contributor.authorKhem, S-
dc.contributor.authorSoy Ty, K-
dc.contributor.authorVun, M-
dc.contributor.authorFord, N-
dc.contributor.authorZachariah, R-
dc.date.accessioned2008-04-09T08:41:57Z-
dc.date.available2008-04-09T08:41:57Z-
dc.date.issued2007-11-
dc.identifier.citationOffering Integrated Care for HIV/AIDS, Diabetes and Hypertension within Chronic Disease Clinics in Cambodia. 2007, 85 (11):880-5 Bull. World Health Organ.en
dc.identifier.issn0042-9686-
dc.identifier.pmid18038079-
dc.identifier.urihttp://hdl.handle.net/10144/22652-
dc.description.abstractPROBLEM: In Cambodia, care for people with HIV/AIDS (prevalence 1.9%) is expanding, but care for people with type II diabetes (prevalence 5-10%), arterial hypertension and other treatable chronic diseases remains very limited. APPROACH: We describe the experience and outcomes of offering integrated care for HIV/AIDS, diabetes and hypertension within the setting of chronic disease clinics. LOCAL SETTING: Chronic disease clinics were set up in the provincial referral hospitals of Siem Reap and Takeo, 2 provincial capitals in Cambodia. RELEVANT CHANGES: At 24 months of care, 87.7% of all HIV/AIDS patients were alive and in active follow-up. For diabetes patients, this proportion was 71%. Of the HIV/AIDS patients, 9.3% had died and 3% were lost to follow-up, while for diabetes this included 3 (0.1%) deaths and 28.9% lost to follow-up. Of all diabetes patients who stayed more than 3 months in the cohort, 90% were still in follow-up at 24 months. LESSONS LEARNED: Over the first three years, the chronic disease clinics have demonstrated the feasibility of integrating care for HIV/AIDS with non-communicable chronic diseases in Cambodia. Adherence support strategies proved to be complementary, resulting in good outcomes. Services were well accepted by patients, and this has had a positive effect on HIV/AIDS-related stigma. This experience shows how care for HIV/AIDS patients can act as an impetus to tackle other common chronic diseases.en
dc.language.isoenen
dc.publisherWHOen
dc.relation.urlhttp://www.who.int/bulletin/en-
dc.rightsArchived on this site with permission of WHOen
dc.subject.meshAmbulatory Care Facilitiesen
dc.subject.meshCambodiaen
dc.subject.meshChronic Diseaseen
dc.subject.meshDiabetes Mellitus, Type 2en
dc.subject.meshHIV Infectionsen
dc.subject.meshHumansen
dc.subject.meshHypertensionen
dc.subject.meshTreatment Outcomeen
dc.titleOffering Integrated Care for HIV/AIDS, Diabetes and Hypertension within Chronic Disease Clinics in Cambodia.en
dc.contributor.departmentMédecins Sans Frontières, Phnom Penh, Cambodia. b.janssens@bigfoot.comen
dc.identifier.journalBulletin of the World Health Organizationen

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